Estimation of the demand for palliative care in non-oncologic patients in Chile

BMC Palliative Care

Research

Tomás Abbot¹  Nicolás Armijo¹  Manuel Espinoza²  Carlos Balmaceda³  Ximena Neculhueque⁴ 

[1] Health Technology Assessment Unit, Clinical Research Center, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile;Health Technology Assessment Unit, Clinical Research Center, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile;Department of Public Health, Faculty of Medicine, Health Technology Assessment Unit, Clinical Research Center, School of Medicine, Pontificia Universidad Católica de Chile, Pontificia Universidad Católica de Chile, Diagonal Paraguay, 362, Santiago, Chile;Health Technology Assessment Unit, Clinical Research Center, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile;Department of Public Health, Faculty of Medicine, Health Technology Assessment Unit, Clinical Research Center, School of Medicine, Pontificia Universidad Católica de Chile, Pontificia Universidad Católica de Chile, Diagonal Paraguay, 362, Santiago, Chile;Centre for Health Economics, University of York, York, UK;Ministry of Health, Santiago, Chile;

关键词: Palliative care;    Mortality;    Health services needs and demand;    Chronic disease;    Comorbidity;    Forecasting;   

DOI  :  10.1186/s12904-022-01122-z

 received in 2022-05-12, accepted in 2022-12-16,  发布年份 2022

来源: Springer

【 摘 要 】

BackgroundAccess to palliative care is an emerging global public health challenge. In Chile, a palliative care law was recently enacted to extend palliative care coverage to the non-oncologic population. Thus, a reliable and legitimate estimate of the demand for palliative care is needed for proper health policy planning.ObjectiveTo estimate the demand for Palliative Care in Chile.MethodologyDiseases likely to require palliative care were identified according to literature and expert judgement. Annual deaths of diseases identified were estimated for the periods 2018–2020. Demand estimation corresponds to the identification of the proportion of deceased patients requiring palliative care based on the burden of severe health-related suffering. Finally, patient-years were estimated based on the expected survival adjustment.ResultsThe estimated demand for palliative care varies between 25,650 and 21,679 patients depending on the approximation used. In terms of annual demand, this varies between 1,442 and 10,964 patient-years. The estimated need has a minor variation between 2018 and 2019 of 0.85% on average, while 2020 shows a slightly higher decrease (7.26%).ConclusionThis is a replicable method for estimating the demand of palliative care in other jurisdictions. Future studies could approach the demand based on the decedent population and living one for a more precise estimation and better-informed health planning. It is hoped that our methodological approach will serve as an input for implementing the palliative care law in Chile, and as an example of estimating the demand for palliative care in other jurisdictions.

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

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